<div class="modal-header">
	<button type="button" class="close" data-dismiss="modal"><span aria-hidden="true">&times;</span><span class="sr-only">Close</span></button>
	<h4 class="modal-title" id="myModalLabel">添加/编辑 用户</h4>
</div>
</br>

<form class="form-horizontal" role="form">
  <div class="form-group">
    <label  class="col-sm-3 control-label">会员名：</label>
    <div class="col-sm-4">
      <input type="text" class="form-control" >
    </div>
  </div>
  <div class="form-group">
    <label class="col-sm-3 control-label">密码：</label>
    <div class="col-sm-4">
      <input type="password" class="form-control">
    </div>
  </div>
  <div class="form-group">
    <label  class="col-sm-3 control-label">昵称：</label>
    <div class="col-sm-4">
      <input type="text" class="form-control" >
    </div>
  </div>

  <div class="form-group">
    <label  class="col-sm-3 control-label">真实姓名：</label>
    <div class="col-sm-5">
      <input type="text" class="form-control" />
    </div>
	<input type="checkbox"> 已认证&nbsp;
	<input type="checkbox"> 未认证
  </div>
  <div class="form-group">
    <label  class="col-sm-3 control-label">身份证号码：</label>
    <div class="col-sm-5">
      <input type="text" class="form-control" />
    </div>
	<input type="checkbox"> 已认证&nbsp;
	<input type="checkbox"> 未认证
  </div>
  <div class="form-group">
    <label  class="col-sm-3 control-label">手机号码：</label>
    <div class="col-sm-5">
      <input type="text" class="form-control" />
    </div>
	<input type="checkbox"> 已认证&nbsp;
	<input type="checkbox"> 未认证
  </div>
  <div class="form-group">
    <label  class="col-sm-3 control-label">QQ号码：</label>
    <div class="col-sm-5">
      <input type="text" class="form-control" />
    </div>
	<input type="checkbox"> 已认证&nbsp;
	<input type="checkbox"> 未认证
  </div>
  <div class="form-group">
    <label  class="col-sm-3 control-label">邮箱地址：</label>
    <div class="col-sm-5">
      <input type="text" class="form-control" />
    </div>
	<input type="checkbox"> 已认证&nbsp;
	<input type="checkbox"> 未认证
  </div>
  <div class="form-group">
    <label  class="col-sm-3 control-label">余额：</label>
    <div class="col-sm-5">
      <input type="text" class="form-control" />
    </div>
  </div>
  
  <div class="form-group">
      <div class="col-sm-offset-3 col-sm-10">
        <button type="submit" class="btn btn-success btn-sm">保 存</button>　
        <button type="button" class="btn btn-default btn-sm" data-dismiss="modal">返 回</button>
      </div>
   </div>
</form>